Spontaneous Unilateral Subperiosteal Hematoma in the Orbit due to Self-Induced Asphyxia: Unusual Cause of Unilateral Exophthalmos

Background: To report an unusual case of subperiosteal bleeding of nontraumatic etiology. Case Description: A 48-year-old female presented with an acute protrusion of the left eye after nonaccomplished suicide by means of asphyxia using a cable around the neck. At the time of presentation, the MRI s...

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Published inCase reports in ophthalmology Vol. 8; no. 1; pp. 232 - 236
Main Authors Subiras, Xavier, Koch, Konrad R., Schrittenlocher, Silvia, Cursiefen, Claus, Heindl, Ludwig M.
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 10.04.2017
Karger Publishers
Subjects
Anticoagulants
Case Report
Case reports
Compression therapy
Defects
Medical imaging
NMR
Nuclear magnetic resonance
Ophthalmology
Optic nerve
Orbital bleeding
Strangulation
Subperiosteal bleeding
Suicides & suicide attempts
Valsalva maneuver
Venous pressure
Valsalva maneuver
Orbital bleeding
Subperiosteal bleeding
Venous pressure
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Summary:Background: To report an unusual case of subperiosteal bleeding of nontraumatic etiology. Case Description: A 48-year-old female presented with an acute protrusion of the left eye after nonaccomplished suicide by means of asphyxia using a cable around the neck. At the time of presentation, the MRI showed an orbital subperiosteal hematoma causing an exophthalmos. After conservative treatment, there was a complete remission of the lesion. Conclusion: Nontraumatic subperiosteal bleedings without involvement of the intraocular structures and no vision-threatening intraorbital changes should be treated conservatively.
ISSN:1663-2699
1663-2699
DOI:10.1159/000469701